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Splenorrhaphy: omental pouch

R Lazim¹, M Salleh, A S Bakar

¹Universiti Sains Malaysia, Kelantan.

The Medical Journal of Malaysia

|June 1, 1995

Summary

This study shows that using a viable omental pouch is an effective method for splenorrhaphy in saving traumatized spleens. This surgical technique offers a promising autogenous alternative for spleen repair in trauma cases.

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Area of Science:

Veterinary Surgery
Surgical Innovation

Background:

Traumatic spleen injuries pose significant challenges in veterinary medicine.
Current splenorrhaphy techniques have limitations, necessitating novel approaches.

Purpose of the Study:

To evaluate the efficacy of an autogenous viable omental pouch for splenorrhaphy in saving traumatized spleens.
To assess the feasibility and outcomes of this technique in animal models.

Main Methods:

Mobilization and vascular pedicle clamping of 10 spleens (1 sheep, 9 goats).
Induction of AAST grade IV splenic trauma.
Application of viable omental pouches with manual pressure for hemostasis.
Postoperative monitoring and 6-week harvesting for histological assessment.

Main Results:

Successful bleeding control in 8 out of 10 animals.
Animals that survived showed recovery within 12-36 hours.
Histological examination at 6 weeks revealed a fibrous capsule and identifiable injury sites.
Two animals died due to surgical complications (aspiration, postoperative bleeding).

Conclusions:

The viable omental pouch technique is a viable autogenous alternative for splenorrhaphy.
This method demonstrates potential for spleen salvage in traumatic injuries.
The technique has preliminary successful application in human cases.

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